Individual provider Active NPI

Luis E Gaitan, M.D.

  • Neurology Physician
  • Brownsville, TX
National Provider Identifier
1275605974
Registry record updated May 12, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurology PhysicianTaxonomy code 2084N0400X
License
K1442 Issued in TX
Practice address
4770 N Expressway
Suite 100
Brownsville, TX 78526-4120
Phone
(956) 550-9020
Fax
(956) 550-9050
NPI assigned
Nov 15, 2006
Last updated
May 12, 2022By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 12, 2022

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Neurology Physician 2084N0400X K1442 TX Primary

Addresses

Primary practice location

4770 N Expressway
Suite 100
Brownsville, TX 78526-4120

Mailing address

PO Box 676786
Dallas, TX 75267-6786
Phone (956) 548-1139

Other identifiers 4

IdentifierTypeStateIssuer
0043KHOtherTXBCBS NUMBER
P00039432OtherTXPIN MEDICARE RAILROAD
200076095OtherTXEMPLOYER IDENTIFICATION N
118823704MedicaidTX

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040428000932 TX Practitioner - Neurology 6406848050 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Neurology
Education
Other, 1984
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

4770 N Expressway
Suite 100
Brownsville, TX 78526-3106
Phone (956) 550-9020

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as individual

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
K1442TXMDNeurology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Luis Gaitan, MD., PA. Neurology CurrentSince Jul 7, 2003 Accepting new patients

Locations

4770 N Expressway
Ste 100
Brownsville, TX 78526
Phone (956) 550-9020

Interoperability endpoints

  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 5

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1163548800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1652313600000",
    "number": "1275605974",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 676786",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752676786",
            "telephone_number": "956-548-1139",
            "fax_number": "956-550-9050"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4770 N EXPRESSWAY",
            "address_2": "SUITE 100",
            "city": "BROWNSVILLE",
            "state": "TX",
            "postal_code": "785264120",
            "telephone_number": "956-550-9020",
            "fax_number": "956-550-9050"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GAITAN",
        "first_name": "LUIS",
        "middle_name": "E",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-11-15",
        "last_updated": "2022-05-12",
        "certification_date": "2022-05-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "TX",
            "license": "K1442",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS NUMBER",
            "identifier": "0043KH",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PIN MEDICARE RAILROAD",
            "identifier": "P00039432",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "EMPLOYER IDENTIFICATION N",
            "identifier": "200076095",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "118823704",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Brownsville, TX

Sources for this page

Verify at the official NPI Registry.